Individual
FRANK DERUYTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28268
BCBS
NC
Enumeration date
06/09/2006
Last updated
07/08/2007
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